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Individual

LYNDA J. BAHDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2935 SHORE DR, MARINETTE, WI 54143-4237
(715) 732-9193
(715) 732-9196
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1704-033
WI
363LF0000X
Family Nurse Practitioner
4704200437
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43914800
WI
Enumeration date
01/27/2006
Last updated
05/07/2018
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